首页>
中文期刊>
《烧伤与创伤》
>Aesthetic reconstruction of the severely disfigured burned face:a creative strategy for a'natural'appearance using pre-patterned autogenous free flaps
Aesthetic reconstruction of the severely disfigured burned face:a creative strategy for a'natural'appearance using pre-patterned autogenous free flaps
The author reviews his pioneering work in aesthetic restoration of the severely disfigured burn face first introduced in 1995 and refined over the past two decades. The reader will be exposed to the step by step approach to achieving cosmetic enhancement and functional rehabilitation of advanced facial burns. The"keystone"of the autogenous reconstruction is the pre-patterned, sculpted microvascular free flap designed to fit like the"piece of a puzzle"into the aesthetic units of the face to replace disfiguring burn scars. Aggressive intraoperative"sculpting"is employed both"in situ"at the donor site and during the flap transfer to simulate the normal facial contours and planes. Comparisons of the author's approach are made to the whole spectrum of reconstructive modalities ranging from conventional grafting to expanded pre-fabricated flaps and even to CTA face transplants;advantages/disadvantages of each are discussed. The pre-patterned, sculpted microvascular (MV) free flap offers the benefit of a single-stage transfer of composite skin/soft tissue hiding the seams at the junction of facial planes. When harvested from distant donor sites, the donor deformities can easily be concealed. The MV free tissue transfer offers the substrate that can be sculpted into nuanced facial components as well as the"palette"upon which the face can be painted with creative camouflage makeup. The soft contour and texture of the autogenous patterned transfers translates into a"natural"facial appearance while preserving fluid motions of facial expression.
展开▼
机译:Chinese Aesthetics and Performance Practice in Three Works for Piano by Chen Yi: Tunes from My Home, Northern Scenes, and Four Spirits =浅析陈怡含有钢琴的作品中涉及到中国艺术美学及演出实践的三首作品:钢琴三重奏《家乡的歌》,钢琴独奏《北方景色》,钢琴协奏曲《四灵》
机译:快速上颌扩张前后自然头部位置的患者颅颈部位置的头影测量评估颅脑头部桡骨远端cran cran radi radi ica ica natural natural natural natural natural natural natural natural natural natural natural natural natural natural natural natural natural natural natural natural natural natural max max max max max max max max max max max max max max max max max max max max max max max max max max max max max max max max max max max max max max max max max
机译:Natural (天然) and units (高单位) nutrients (营养素) 13 one component (成分) Total (综合) Vitality (活力) Samtoh, high natural nutritious foods (食品) of the name is excellent (优秀) a domestic natural raw materials (国产自然原料) using 12 species (利用) and processing (加工处理) and a method of manufacturing (制造方法)